Financing HIV/AIDS and tuberculosis interventions in Estonia

Autorid: Politi C , Tõrvand T
Väljaandja/tellija: WHO Regional Office for Europe
Märksõnad: finantseerimine, HIV, AIDS, tuberkuloos, terviseteenused, ennetamine
Välja antud: 2007
Tüüp: Uuring/analüüs
Nimi SuurusFormaat
Politi2007.pdf405.64 kBAdobe PDF
Alamvaldkonnad:Terviseteenuste korraldus, kättesaadavus ja kvaliteet
Kirjeldus: This report presents current progress within the project "Scaling up treatment and care for HIV/AIDS and tuberculosis (TB) and accelerating prevention within the health system in the Baltic States: Estonia, Latvia and Lithuania". In particular, the report presents a detailed cost analysis of public health programmes covering all main sources of financing and services provided to the target population - HIV/AIDS and TB patients - in Estonia. The authors synthesize the results in a chart showing the flow of funds, highlighting relevant organizational and financial links among the different components of the health system.
The analysis of the flow of funds provides an overview of the financing system through the four functions: revenue collection, resource pooling, service purchasing and service provision. The analysis enables policy makers to assess potential areas of coordination and synergies among several agents within the health system. Costs are estimated for the year 2005.
The authors believe that the analysis of the flow of funds could be developed to describe alternative organizational and financial scenarios (for illustrative purposes a hypothetical scenario is presented for the year after the GFATM will have expired) and to include projections of financial requirements for health services. UNAIDS and the World Health Organization's Stop TB department are providing tools for projections and planning purposes that are complementary to the flow of funds analytical approach.
Through the analysis of the flow of funds and findings of the project, some critical issues emerge in fragmentation of financing, limited active purchasing, missing services, patients' perspectives, and health providers' perspectives. The Estonian HIV/AIDS-TB working group shares the recommendations for addressing the main critical issues and supporting the project's follow up.